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Individual

DR. LILA COULTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
2340 WARD ST, SUITE #105, BERKELEY, CA 94705-1124
(510) 649-0207
Mailing address
2340 WARD ST, SUITE #105, BERKELEY, CA 94705-1124
(510) 649-0207

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY11391
CA

Other

Enumeration date
02/12/2007
Last updated
07/08/2007
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